Individual
CHRISTINE MARINDA CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
4697 KINGS CORNERS RD, ROMULUS, NY 14541-9771
(585) 764-4254
Mailing address
4697 KINGS CORNERS RD, ROMULUS, NY 14541-9771
(585) 764-4254
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
006644
NY
Other
Enumeration date
10/22/2020
Last updated
10/22/2020
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